Critical Care
With a team of highly qualified and experienced doctors, nurses and support staff working together, we at BMH are dedicated to the management of critically ill patients. The Critical Care Centre at BMH provides round the clock swift and accurate treatment to patients with life‐threatening situations, including those acutely ill or critically injured. The closed multidisciplinary ICU at the department is the first‐of‐its‐kind in Kerala, manned by a team of intensivists & sophisticated critical care physicians. State‐of‐the‐art equipment and facilities are made available in the ICUs that make the department one of the best in the region. With a wide range of intensive and holistic integrated care, we provide continuous and specialised treatment to critically ill patients. We take an integrated approach while providing critical care to the patients making it possible for them to get the medical attention from experts of different medical departments. Focused and personalised medical attention is given to each patient from initial stages to recovery. The specialised Toxicology & Snake Bite unit at the department ensures immediate medical attention for victims of snake bite and poisoning. The nurses at the Critical Care Centre are well‐trained in BLS and ACLS and have relevant experience in the field. The expert team of ACLS/BLS trained Doctors, Nurses and Ancillary staff provides holistic treatment to patients, with an optimal, evidence‐based approach. The department is a recognised super specialty training centre in Critical Care Medicine.
Panel of Doctors
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Dr. Ajith K Gopal
Senior Consultant & Chief
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Dr. Muraleedharan R
Senior Consultant
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Dr. Hariprasad P M
Senior Consultant - Critical Care Medicine
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Dr. Muralidharan R
Associate Consultant
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Dr. Anoop C
Specialist
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Dr. Jamshed Ahamad Ansari
Specialist
Tab 1
Dr. Ajith K Gopal MBBS, MD, FNB ( Critical Care Medicine)
Senior Consultant & Chief
With wealth of expertise spanning over 15 years, senior consultant, and chief posses an extensive background in the field of pulmonology and critical care. This invaluable expertise has been honed through working in wide range of multispecialty hospitals, both in India and abroad, contributing to exceptional skills and knowledge in the field.
Qualifications
- M.B.B.S – Govt. Medical College Kozhikode.
- D.T.C.D(Pulmonology) – Govt. Medical College, Trivandrum.
- M.D(Pulmonology) – Govt. Medical College, Trivandrum.
- FNB (Critical Care Medicine) – Amritha Institute of Medical Sciences, Kochi. (NBE-India)
- EDIC (European Diploma in Intensive Care) – ESICM, Zurich, Switzerland.
Area of Expertise
- Respiratory Intensive care
- Trauma intensive care
- Infectious disease in critical care
- Advanced Hemodynamic monitoring
- Obstetric Emergencies
Awards
- Certificate of excellence and bravery for eradicating NIPAH epidemic spread from Government of Kerala, India (2018)
- Certificate for Infection prevention and control, Hero of the year (2020-2021) for dedication and hard work from AWH, HMC QATAR (2020)
- Certificate of Appreciation from HMC Qatar for extraordinary service and dedication during COVID 19 pandemic (2021)
- Certificate of Appreciation from MOPH Qatar during FIFA world cup 2022 for contribution to healthcare sectors provision of medical and support services (2022).
Dr. Ajith K Gopal
Senior Consultant & Chief
Tab 1
Dr. Muraleedharan R MBBS, MD, DPM, DA
Senior Consultant
Clinical excellence meets seasoned leadership in the field of Critical Care Medicine. With over 15 years of dedicated experience, bring a wealth of knowledge and expertise to the table. His qualifications include MBBS from Government Medical College Trivandrum (1992) and MD in Anaesthesiology (DA) from Government Medical College Calicut (2005). IDCCM in Critical Care from KIMS Hospital Trivandrum (2014) and PGDHQM from TISS Mumbai (2021).
His career began as an Anaesthesiologist and Psychiatrist in Kerala Health Services (1998 – 2007), followed by a tenure as an Assistant Professor in Anaesthesiology at Trivandrum Medical College (2007-2014). Since 2014, he have been dedicated to my role as a Senior Consultant in the Department of Critical Care at KIMS Hospital, Trivandrum.
Areas of Interest:
- Humanising Intensive Care
- ICU Quality
- Deceased Donor Programme
- Soft Skill Training
- Antibiotic Fluid Stewardship
He also have a passion for education, having been a teacher and Co-guide for MD (Anaesthesiology) at KUHAS (2007-2014) and a teacher for DNB Emergency Medicine (2015-2019). Teacher for DRNB Critical Care (2020) and a Trainer in PDT and Lung Ultrasonography (USS). Additionally, he impart soft skills and mindful communication training and have been a faculty member at prestigious medical conferences, more than 50 including the 2022 SAARC Conference in Kochi, the 2022 GICS Conference in Bangalore, and the 2022 SCTIMST Conference in Trivandrum.
Qualifications
- MBBS - Government Medical College Trivandrum (1992)
- MD, DA (Anaesthesiology) - Government Medical College Calicut (2005)
- DPM, DNB, MPhil in behavioural medicine – Government Medical College Trivandrum (1998-2003)
- IDCCM (Critical care) – KIMS Hospital Trivandrum (2014)
- PGDHQM - TISS Mumbai (2021)
Work Experiences
- Worked as a senior consultant in Department of Critical Care - KIMS Hospital, Trivandrum.(2014 – 2023)
- Former Assistant Professor in Anaesthesiology in Govt. Medical College Trivandrum .(2007-2014)
- Former Anaesthesiologist / Psychiatrist - Kerala Health Services (1998 – 2007)
Publications
- Seven national and one International.
- Authored a chapter in 1001 MCQ by Bangalore ISCCM
Paper Presentation
- Publications in various national and international per reviewed journals
- National and international podium presentations.
As Transplant Procurement Manager
- Oral Presentation in ESOT 2020
- Paper presentation in MESOT 2020
- Abstract presentation in ISOT 2020
- Poster presentation in TTS 2020
- 2 Abstracts Presentation selected for ESICM, Italy 2023
- 3 poster presentations in EUROASIA 2023
Dr. Muraleedharan R
Senior Consultant
Tab 1
Dr. Hariprasad P M MBBS, MD (Pulmonology), IDCCM
Senior Consultant - Critical Care Medicine
Qualifications
- MBBS (Calicut Medical College, Kerala) (2000-2006)
- MD (Pulmonary Medicine) (Calcutta National Medical College, Kolkata)(2008-2011)
- IDCCM (Indian Diploma in Critical Care Medicine) from Amrita Institute of Medical Sciences, Kochi, Kerala (2019-2020)
Work Experience
- Junior Intensivist in Multidisciplinary ICU in Malabar Institute Of Medical Sciences (MIMS), Calicut
- Consultant in Pulmonology and Critical Care Unit at Valluvanad Hospital, Ottapalam
- Malabar Medical College Hospital and Research centre as Assistant Professor and Consultant in Pulmonology and Critical care
- Fellow in Critical Care at Amrita Institute of Medical Sciences, Kochi, Kerala
- Consultant in Critical Care Medicine at Meitra Hospital , Kozhikode, kerala
Associations and Memberships
- Indian Medical association
- Indian Society of Critical Care Medicine
- Academy of Pulmonary and Critical Care Medicine
Dr. Hariprasad P M
Senior Consultant - Critical Care Medicine
Tab 1
Dr. Muralidharan R MBBS, MD, DNB, DM(Critical Care)
Associate Consultant
Dr Muralidharan Ramaraj is an associate consultant in Critical Care. He did his MBBS from Amala Medical college, Thrissur. He then went on to do his post graduate training in MD Pulmonary medicine from Govt medical college Patiala, Punjab. He also cleared DNB Pulmonary Medicine from NBE. He then did a fellowship in critical care medicine (IDCCM) from St John’s medical college, Bangalore, and completed DM Critical care from St John’s medical college. He has cleared EDIC exam conducted by ESICM.
He is well trained in handling wide variety of critical patients with Septic shock, Polytrauma, Oncology, Neurosurgical & Neurological patients, Cardiac Cases, Pregnancy related emergencies, AKI & CKD patients, Gastroenterology, Poisoning , Endocrine and Hepatology cases.
Areas of Interest:
- Respiratory critical care- ARDS , Weaning, Ventilator management
- Hemodynamic monitoring
- End of life care and communication
Qualifications
- MBBS- Amala Medical College, Thrissur
- MD – Pulmonary Medicine – Govt. Medical College Patiala
- DNB - Pulmonary Medicine – National Board of Examination
- DM – Critical Care Medicine - St John’s Medical College, Bangalore
- IDCCM- St John’s Medical College, Bangalore
- EDIC- ESICM
Work Experience
- Worked as Senior resident in Dept of Critical Care Medicine, St John’s Medical College, Bangalore
- Worked as Consultant in Dept of Pulmonary medicine and critical care- Delhi Heart hospital , Bathinda , Punjab
Research
- Prediction of extubation outcome with P0.1,parasternal intercostal muscle, diaphragm thickness- A prospective study - 2021 to 2023
- Prevalence of tuberculosis among contacts of multi-drug resistant tuberculosis - a prospective study- 2015 to 2017
Publications
- “Unilateral Agenesis of the Lung”: A Rare Entity, Urvinderpal Singh, Daksh Jhim, Sunil Kumar,Vidhu Mittal, Navdeep Singh, Hitesh Gour, Muralidharan Ramaraj Published in The American journal of case reports 2015 DOI:10.12659/AJCR.892385.
- Singh, U., Kumar, S., Gour, H., Singh, N., Ramaraj, M., Mittal, V., & Jhim, D. (2015).”Complicated hydatid cyst and "air bubble" sign: a stepping-stone to correct diagnosis”. The American journal of case reports, 16, 20-4. doi:10.12659/AJCR.892621.
- Singh U, Mohan V, Goyal D.K, Ramaraj M, Shailly, Poduvattil P, Kaur R.P, Abraham J. ”Hypoplasia of lung a rare entity mimicking as a case of tuberculosis”. Int J Med Res Rev2017;5(03):315-319 doi:10.17511/ijmrr. 2017.i03.16.
- “Pleural nodules: A rare presentation of extrapulmonary tuberculosis” :Urvinderpal Singh, VinayMohan, Navdeep Singh, Daksh Jhim, Muralidharan Ramaraj, Areekkara Poduvattil Prasanth,Hitesh Gour, and Shailly. Lung India. 2016 Nov-Dec; 33(6): 699–701.doi: 10.4103/0970-2113.192855.
- Poduvattil, P., Kumari, S., Mohan, V., Ramaraj, M., Deshawar, S., Singh, N, Gour, H. (2016). “To Determine the Outcome of Standardized Treatment of Multidrug-Resistant TB Among Pediatric Age Group at Drug-Resistance Tuberculosis Centre (DR-TB CENTRE) In Patiala”, India. Chest,150(4), 203A.doi:10.1016/j.chest.2016.08.212.
- Dr. Urvinderpal Singh, Dr. Navdeep Singh, Dr. Vinay Mohan, Dr. Hitesh Gour, Dr. Daksh Jhim,Dr. Muralidharan Ramaraj, Dr. Areekkara Poduvattil Prasanth, Dr. Shailly Deshawar, Dr BaljeetSingh Virk. “Varied Presentations of Paradoxical Upgrading Reactions in Pulmonary Tuberculosis”, International Journal of Scientific Research, Volume : 5 | Issue : 12 |December 2016.
Presentations
- Prediction of extubation outcome with P0.1,parasternal intercostal muscle, diaphragm thickness- A prospective study - Oral presentation in South Zone Critical Care conference 2023,Hyderabad.
- Pyridostigmine induced myocardial infarction in a case of myasthenia gravis in crisis- a case report-poster presentation in CRITIQUEST 2023, St John’s Medical college , Bangalore.
- A fatal case of CNS melioidosis with severe brain stem dysfunction - a case report – poster presentation at CRITICARE 2023.
Book Chapters
- Restrictive lung disorders- Decision making in critical care by Atul Prabhakar Kulkarni (2023).
- Chest Physiotherapy in ICU- Textbook of Mechanical Ventilation by Atul Prabhakar Kulkarni(2023).
Dr. Muralidharan R
Associate Consultant
Tab 1
Dr. Anoop C MBBS, DNB(Anaesthesiology), IDCCM
Specialist
Dr.Anoop C is a specialist in critical care medicine. He graduated (MBBS) from MES Medical College, Perinthalmanna. He then went on to do his post graduate training in DNB Anesthesiology from Little Flower Hospital, Angamaly. After post-graduation he chose critical care medicine as his specialization and did a fellowship in critical care medicine (IDCCM). He is a member of Indian society of critical care medicine. He is a dedicated and skilled intensive care physician who is passionate about enhancing patient care standards.
Area of Expertise
- Difficult airway management
- Mechanical ventilation
- ICU procedures like invasive lines, percutaneous tracheostomy, bronchoscopy, POCUS
Qualifications
- MBBS: MES Medical College, Perinthalmanna
- DNB ANAESTHESIOLOGY: Little Flower Hospital, Angamaly
- IDCCM: Baby Memorial Hospital, Kozhikode
Work Experience
- Worked as a specialist in Intensive Gastro and Liver Unit, Aster Mims, Kozhikode
Research
- THESIS - Comparative study of modified Mallampatti, upperlip bite test and ratio of neck circumference to thyromental distance ratio in prediction of difficult intubation.
Dr. Anoop C
Specialist
Tab 1
Dr. Jamshed Ahamad Ansari MBBS, DNB, IDCCM
Specialist
Dr Jamshed Ahamad Ansari is a Specialist in Critical Care Medicine. He did his MBBS from M.E.S Medical College, Perinthalmanna. He then went on to do his post graduate training in DNB Anesthesiology from Jaypee hospital Noida, Uttar Pradesh. He completed a fellowship in critical care medicine (IDCCM) from Baby Memorial Hospital, Kozhikode.
He is dedicated and skilled intensive care physician trained in handling critical patients.
Areas of Expertise:
- Difficult airway management, ARDS , Weaning, Ventilator management
- Hemodynamic monitoring
- ICU procedures – invasive lines, percutaneous tracheostomy, bronchoscopy, POCUS
Qualifications
- MBBS - M.E.S Medical College, PerinthalmannaDNB ANAESTHESIOLOGY – Jaypee Hospital, Noida
- DNB ANAESTHESIOLOGY – Jaypee Hospital, Noida
Work Experience
- Worked as a Specialist in Intensive Gastro and Liver Unit, Aster MIMS, Kozhikode.
Research
- Evaluation of Dexmedetomidine infusion as an analgesic adjuvant during laparoscopic cholecystectomy: a randomized controlled study.
Dr. Jamshed Ahamad Ansari
Specialist
Dr. Ajith K GopalSenior Consultant & ChiefWith wealth of expertise spanning over 15 years, senior consultant, and chief posses an extensive background in the field of pulmonology and critical care. This invaluable expertise has been honed through working in wide range of multispecialty hospitals, both in India and abroad, contributing to exceptional skills and knowledge in the field.
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Dr. Muraleedharan RSenior ConsultantClinical excellence meets seasoned leadership in the field of Critical Care Medicine. With over 15 years of dedicated experience, bring a wealth of knowledge and expertise to the table. His qualifications include MBBS from Government Medical College Trivandrum (1992) and MD in Anaesthesiology (DA) from Government Medical College Calicut (2005). IDCCM in Critical Care from KIMS Hospital Trivandrum (2014) and PGDHQM from TISS Mumbai (2021). His career began as an Anaesthesiologist and Psychiatrist in Kerala Health Services (1998 – 2007), followed by a tenure as an Assistant Professor in Anaesthesiology at Trivandrum Medical College (2007-2014). Since 2014, he have been dedicated to my role as a Senior Consultant in the Department of Critical Care at KIMS Hospital, Trivandrum. Areas of Interest:
He also have a passion for education, having been a teacher and Co-guide for MD (Anaesthesiology) at KUHAS (2007-2014) and a teacher for DNB Emergency Medicine (2015-2019). Teacher for DRNB Critical Care (2020) and a Trainer in PDT and Lung Ultrasonography (USS). Additionally, he impart soft skills and mindful communication training and have been a faculty member at prestigious medical conferences, more than 50 including the 2022 SAARC Conference in Kochi, the 2022 GICS Conference in Bangalore, and the 2022 SCTIMST Conference in Trivandrum.
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Dr. Hariprasad P MSenior Consultant - Critical Care Medicine
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Dr. Muralidharan RAssociate ConsultantDr Muralidharan Ramaraj is an associate consultant in Critical Care. He did his MBBS from Amala Medical college, Thrissur. He then went on to do his post graduate training in MD Pulmonary medicine from Govt medical college Patiala, Punjab. He also cleared DNB Pulmonary Medicine from NBE. He then did a fellowship in critical care medicine (IDCCM) from St John’s medical college, Bangalore, and completed DM Critical care from St John’s medical college. He has cleared EDIC exam conducted by ESICM. He is well trained in handling wide variety of critical patients with Septic shock, Polytrauma, Oncology, Neurosurgical & Neurological patients, Cardiac Cases, Pregnancy related emergencies, AKI & CKD patients, Gastroenterology, Poisoning , Endocrine and Hepatology cases. Areas of Interest:
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Dr. Anoop CSpecialistDr.Anoop C is a specialist in critical care medicine. He graduated (MBBS) from MES Medical College, Perinthalmanna. He then went on to do his post graduate training in DNB Anesthesiology from Little Flower Hospital, Angamaly. After post-graduation he chose critical care medicine as his specialization and did a fellowship in critical care medicine (IDCCM). He is a member of Indian society of critical care medicine. He is a dedicated and skilled intensive care physician who is passionate about enhancing patient care standards. Area of Expertise
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Dr. Jamshed Ahamad AnsariSpecialistDr Jamshed Ahamad Ansari is a Specialist in Critical Care Medicine. He did his MBBS from M.E.S Medical College, Perinthalmanna. He then went on to do his post graduate training in DNB Anesthesiology from Jaypee hospital Noida, Uttar Pradesh. He completed a fellowship in critical care medicine (IDCCM) from Baby Memorial Hospital, Kozhikode. He is dedicated and skilled intensive care physician trained in handling critical patients. Areas of Expertise:
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Services & Facilities
- First and only closed multidisciplinary ICU in North Kerala
- 14 bedded closed multidisciplinary ICU
- 12 bedded step down ICU [MICU II]
- 8 bedded Surgical ICU for poly trauma and complicated surgical patients
- Toxicology & Snake bite unit for poisoning, drug overdosage & snake bite cases
- Centralized monitoring system with distal eICU access to consultants.
- Bedside point of care ultrasound
- Bedside bronchoscopy
- ECMO
- Haemodialysis & SLED
- Point of care toxicology screening & drug level monitoring
- Access to TOXBASE for updated toxicology management
- Bedside ABG machine with cooximetry and advanced parameters
- Availability of Clinical Microbiologist, Respiratory therapist, ICU Physiotherapist,
- Clinical Pharmacist, ICU dietitian & Medical Social Worker
- Medical Social Worker to clarify potential misperceptions, enhancing communication among patients, their families and the medical team members.
- Advanced carescape ventilators
- Facility for end tidal carbon dioxide monitoring for all ICU beds
- High flow nasal oxygen
- Advanced haemodynamic monitoring with ultrasound & PPV
- Pressure redistribution mattress for all beds with automatic sensor pad and automatic pump which constantly readjust cell pressure to prevent bedsores.
- Enteral feeding pumps for fully programmed continuous feed using feeding bags
- Advanced non invasive ventilators
- Intermittent pneumatic compression pumps for DVT prophylaxis
- Core temperature monitoring for all beds
- 2 isolation beds
- 1:1 critical care nurse ratio for sick and ventilated patients
- Super speciality training centre in Critical Care Medicine
- Holistic integrated patient centred care for sick patients
- Round the clock coverage by critical care physicians & post graduate registrars
- Point of care ultrasound, Ultrasound guided central venous access & hemodynamic optimisation
- Bronchoscopic guided BAL & Percutaneous Tracheostomy
- Therapeutic hypothermia
- Polymyxin & charcoal hemoperfusion
- Prone ventilation
- High Flow nasal oxygen therapy
- Sustained low efficiency dialysis for hemodynamically unstable patients
- Toxicology & Snake bite treatment
- Morning & evening detailed bedside briefing about the medical status of the patients by Critical Care Physicians.
- Specialised Toxicology & Snake Bite Unit
- Recognised superspeciality training centre in Critical Care Medicine